Northwest Pediatric Dermatology, Pllc

NPI #1588164925 in Olympia, Washington

Provider Information

NPI Number
1588164925
Entity Type
Organization
Organization Name
Northwest Pediatric Dermatology, Pllc
Primary Specialty
Dermatology - Pediatric Dermatology
Enumeration Date
Feb 12, 2018
Last Updated
Feb 12, 2018

Practice Location

Address
703 LILLY RD NE STE 105
ZIP Code
98506-5191
Phone
(360) 539-6141

Authorized Official

Name
DR. VIVIAN LOMBILLO, MD
Title
PHYSICIAN/OWNER
Phone
(360) 539-6141

Specialties & Taxonomy Codes

Specialty
Dermatology
Dermatology - Pediatric DermatologyPediatric Dermatology

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